- Hartford HealthCare (Farmington, CT)
- …the system. *_Position Summary:_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required ... to obtain insurance prior authorizations for chemotherapy and other services in a...Responsibilities:_** **Key Areas of Responsibility** Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical pharmacist will ... calls from physician or members regarding their pending, approved, or denied prior authorizations. **Responsibilities:** + Evaluate and review all prior … more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior ... pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization, then notify the patient aiding in the coordination of… more
- University of Washington (Seattle, WA)
- **Job Description** **UW Medicine Primary Care - Prior Authorization Team** has an outstanding opportunity for a **Patient Services Specialist 2- Prior ... to facilitate referrals to the UW Medicine Health System and to process prior authorizations + Process referrals/ prior authorization in accordance with UW… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Prior Authorization Manager is responsible for the work of the Prior Authorization Coordinators and ensuring the quality of the prior ... tracking productivity towards goals, hiring, training, and managing the Prior Authorization Coordinators, and completing the necessary functions to ensure… more
- University of Washington (Seattle, WA)
- …Pharmacy Department** has an outstanding opportunity for a **Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** * Per Diem * Day Shifts ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works with ... clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to… more
- Actalent (Rancho Cordova, CA)
- Prior Authorization RN FULLY REMOTE- MUST reside in California Great opportunity to work with a not-for-profit health plan committed to providing affordable and ... accessible healthcare to all Californians! Job Description The Prior Authorization Nurse will triage and review cases as...Nurse will triage and review cases as necessary, handling prior authorization cases in accordance with medical policy and… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Manager, Network Prior Authorization Services is responsible for monitoring and facilitating the referral and ... department, coordinating day-to-day activities, including direction of the Network Prior Authorization and Referral Specialists. JOB DUTIES AND RESPONSIBILITIES: +… more
- US Tech Solutions (May, OK)
- …Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior … more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $68.00 - $70.00 Salary/year Description WHO WE ARE ... need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of rejected… more
- University of Utah (Salt Lake City, UT)
- …PRN43444B **Job Title** PS Coordinator, Scheduling **Working Title** Coordinator, Prior Authorization **Career Progression Track** C **Track Level** **FLSA Code** ... Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate...but not limited to: outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and… more
- Saratoga Hospital (Saratoga Springs, NY)
- Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, we've ... with exceptional people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, ... activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote Position ... Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris...we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying… more
- Montrose Memorial Hospital (Montrose, CO)
- …serving Montrose and surrounding counties. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and ... through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care as… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals. +… more
Related Job Searches:
Care Review Clinician Prior,
Clinical Pharmacist Prior Authorization,
Clinical Review Nurse Prior,
Corporate Executive Prior,
Pharmacy Technician Prior Authorization,
Pharmacy Technician Remote Prior,
Prior Authorization Coordinator,
Prior Authorization Specialist,
Prior Law Enforcement Court,
Referral Prior Auth Rep